 |
INTRODUCTION
The cardiovascular system has ten unique characteristics that make it an unusually
complicated hydraulic system. Understanding how the cardiovascular system functions requires
insight into a larger set of variables than that which governs the function of most pump, pipe, and
fluid systems found in the world of man-made machines. The ten unique characteristics peculiar
to the cardiovascular system are:
- The system is a closed circle rather than being open-ended and linear.
- The system is elastic rather than rigid.
- The system is filled with liquid at a positive mean pressure ("mean cardiovascular pressure"),
which exists independent of the pumping action of the heart.
- The right and left ventricles, which pump into the same system that they pump out of, are in
series with two interposed vascular beds (systemic and pulmonary).
- The heart fills passively, rather than by actively sucking.
- As a consequence of the heart's passive filling, the circulation rate is normally regulated by
peripheral-vascular factors, rather than by cardiac variables.
- The flow from the heart is intermittent, while the flow to it is continuous.
- Normally, there is an excess expenditure of energy by the heart needed for the circulation
rate imposed by peripheral vascular regulators ("pump energy excess").
- Normally, ventricular capacity is in excess of the diastolic filling volume ("pump capacity
excess").
- The slowing effect of any vascular resistance on flow rate depends on its location, with
reference to upstream compliance, as well as its magnitude.
|